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, <br />Permit No. �T'..�. �..-. <br />�ITY ENGINEERS <br />EVERETT; WASH. <br />The Undersigned <br />APPLICATION FOR DRIVEWAY PERMIT <br />J, �` 'r`` ' ; <br />;._' <br />Hereby applies for permission to ���- `- '�� ��� `=' `�y '' �G� y�` `J �� <br />At the following location %y•'"�=�'�' ��' ' � `'�� %� '`" r-� �'` E �-�'��'TG''J <br />SKETCH <br />IWork to be done) <br />Ev�c�-�- ,��-:: � ; , ��:�; � =,,-- - __ <br />.;, : <br />� <br />� � Y,�.�'� :=. ..�_ ..'%J :��%�. —; � <br />E x I Sr i N 6 c�st-.9 r'�=.-i : <br />�t� �'-�' <br />�.,r_._"___75 , <br />< <br />, <br />� <br />: <br />� : <br />� f <br />_w= <br />I- J ; <br />h z; <br />xw; <br />W l�: <br />i <br />. .. _ F FYN c-E y� _ .. . - ,.. %'"c'f �Lc"ss� D�! ,G rcr,:1. ! <br />� <br />+� �i'p Y w� �a Tf n[ �c Y� -4 -}f v a� r K � r .[ . � v v.� . .�� <br />r�' � `, <br />, . <br />AiY'Etl j77 ,Bii G,Cdfx? K'�CdV/"LE17 � � <br />�'1,�72'CG'f',"ir !�.'�.�n1.7L,-c.t'�,�.. `.'��- ��i•�F-:toV"iUE,v- <br />F'O.z f3 y' ,tJ �."L !�.d,a!': — :: . �___ _ <br />/3 %h" STFr'EET <br />�'-�.,�-1 n�tr<ic�N P�i�� W�,��c �'r�n�fzrY---�� <br />The undcrsigned owncr hereby agrces to hold and savc harmless thc Ci1y o( <br />Evereti from any rnd all claims for damages that moy arise 6ecause o( Ihe <br />installalion and mainlenance of thc improvement herelo applicd for ❑nd <br />furlhcr agrees lo remove same upon nolice (rom the City and to replace all <br />public property damaged Ihcreby. <br />/ VL�/�' � <br />i'�-f��iC//YG ��6r� �U� ��/�1�C'��AiC' � <br />G�S.C. S%� j O,�'/-l�f%/�'�CNTii<3' rr�., � <br />•r. <br />i�/s <br />��.`i�� i <br />Inspeclor's Signalure <br />everett <br />Approved By <br />Date Approved <br />Ycs ._ <br />No <br />W; <br />d <br />z <br />Q; <br />I� ! <br />�I <br />oi <br />z� <br />� <br />_ ;'�'� r� <br />i <br />^�'���.-.� �. �. �, ,'�"C;. i.-. ( : <br />�'Signafure of Appliconf <br />? �-%<� �;� , . , � <br />Add.ess <br />� <br />�- ` - �/' <br />/ Tclephonc Nurnbcr <br />. ., , i � - !' ' , <br />Date <br />i� <br />r <br />, / Fec <br />r' —.- �,.�-__. �i :G�' �5-_ <br />�_ �.. <br />